Saltwater Integrative Wellness, LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

SALTWATER INTEGRATIVE WELLNESS, LLC

Doing business as

SaltWater Aesthetics & Wellness, LLC

Practice address

28467 Dupont Blvd Unit 6
Millsboro, DE 19966-3749

Phone

(302) 272-9738

Fax

(866) 371-4672

NPI assigned

Jul 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anita L Becklin-Tyndall, CRNP

Title

Owner/Admin

Phone

(302) 841-4728

Specialties & licenses 3

Addresses

Other names 1

• SaltWater Aesthetics & Wellness, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita L Tyndall, FNP-C

  • Family Nurse Practitioner
  • Millsboro, DE
  • NPI 1649870627
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1649958927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28467 DUPONT BLVD UNIT 6",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663749",
            "telephone_number": "302-272-9738",
            "fax_number": "866-371-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28467 DUPONT BLVD UNIT 6",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663749",
            "telephone_number": "302-272-9738",
            "fax_number": "866-371-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTWATER INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "BECKLIN-TYNDALL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "302-841-4728",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SaltWater Aesthetics & Wellness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Michele Rogers, PHARM.D.
• Juana Romelus
• Laura Jane Rones, FNP
• Terriann Rosa
• Kaitlyn M Ruffing, MD
• Taylor Sanders, LMSW
• Kristina Santos
• Faith Schenker, CPHT
• Robert A. Schneiderman, RPH
• Holly Schreiber

• Prevention Professional in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Prevention Professional in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.